Doctor Name: | MARY B GROSVENOR |
NPI Number: | 1285670729 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 637966 |
Business Practice Address: | 1501 E 3rd St Delta, CO - 814162815 |
Business Phone Number: | 9708747681 |
Business Fax Number: | |
Mailing Address: | Po Box 10100, DELTA |
State: | CO |
Postal Code: | 814160008 |
Phone Number: | 9708742470 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 03/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 637966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |